Individual
JENNIE MARIE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4785 N 1ST ST, FRESNO, CA 93726-0513
(559) 448-4295
Mailing address
4785 N 1ST ST, FRESNO, CA 93726-0513
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1710
CA
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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